Results 1 to 3 of 3

Tc & 26?

  1. Default Tc & 26?
    Medical Coding Books
    How would you bill both intraoperative monitoring technical fee and professional read fee for the following situation.....

    95920- Intraoperative Neurophysiology Monitoring- Billable Hours 1.00
    95938- Upper and Lower Extremities SSEP
    95861- Upper EMG, Units 2
    95939- Upper and Lower Extremities TCeMEP
    95937- Neuromuscular Junction Test (TO4)
    95955- EEG Non-intracranial Surgery

    If you need more information in order to answer my question, please let me know.


  2. Default
    I am not 100% sure what you are asking and without seeing the reports I can not give you an answer with 100% accuracy. However, I can tell you this -- two seperate entities have to be involved in order to bill with the tc/26 mods -- IE --- the reading Physican (26 mod) may have a contract with the entity providing the service (tc) but is not employed by them. If it isn't the reading Physicians equipment - or equipment belonging to his/her group then you can split the charges with the tc/26 mod. Each of those CPT codes listed above have an RVU for the split indicating you can bill the CPT 2x ie - 95920-26 and 95920-TC.
    You can look it up at this site:
    once you put the cpt code in you will see a price for the tc, a price for the 26 and a price without a modifier. If there is not a price in one of those fields than you can not use a tc/26 on the code.
    Hope that helps some!

  3. Default Tc 26
    Whomever owns the equipment usually gets to bill the TC portion.

Similar Threads

  1. Replies: 0
    Last Post: 08-07-2015, 12:40 PM
  2. ICD9 allowable coding for 93880 & 83882 & 93875
    By twinger in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 01:09 PM
  3. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-08-2012, 11:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.